Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01399 | Date 13/04/2020 |
| Token No | SM/19-20/3970 29/04/2020 | Serial | 004 |
| Patient Name | Mrs. MINA PRAMANIK | Contact No | 8420007983 |
| Address | 8A HARIPARA LANE SERAMPORE 712203 | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||